| NPI | 1982979019 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: CA A126697) |
| Additional Taxonomies | 2085R0001X Radiology, Radiation Oncology (Licence: AZ 61499) |
| Enumeration Date | 2012-03-22 |
| Last Update Date | 2024-12-09 |